• 대한간호학회지
• /
• 제28권2호
• /
• pp.380-391
• /
• 1998

This study was conducted to develop a theoretical model for the determinants of activities of daily living in Korean rural elderly people. The theoretical model was derived from Lawton's Ecological Model to explain human behavior. The model includes determinant variables for functional status such as age, sex, physical status, cognitive status, physical environment, social environment, and depression. Data for this study was collected from 189 elderly people in a rural district near Chonju City. The data was analyzed with SPSS PC/sup +/4.1 and LISREL 8. The analysis of the data showed that the first proposed theoretical model did not fit the collected data well. In order to increase the fit of the model to the data, the model was modified by deleting the exogenous variables of sex, physical environment, and social environment. The fit of the modified model to the data was increased and was move suitable. The results of this study show that the determinants of the activities of Korean rural elderly people were age, perceived physical condition, cognitive status, and depressional status. Age has a significant direct and indirect effect on the activities of daily living of rural elderly people. Perceived physical condition has a significant indirect effect through depression on activities of daily living. Cognitive status also has a significant indirect effect through depression on functional status. Depression has a significant direct effect on the functional status. Physical environment and social environment showed reversal relationships to functional status. In conclusion, the results of this study show that personal characteristic factors are more important than environmental characteristic factors for functional status of elderly people. However, the importance of depression to functional status in Korean rural elderly people and the reverse relationship between social environment and functional status, reflect Korean specificity. Korean nursing needs to focus more on this Korean specificity in order to develop nursing knowledge and practice appropriate to Korean people.

• 대한간호학회지
• /
• 제31권3호
• /
• pp.477-491
• /
• 2001

Purpose: This study was designed to construct a structural model for health promoting behavior in patients with chronic respiratory disease. A hypothetical model was developed based on the literature review. Method: Data was collected by questionnaires from 235 patients with chronic respiratory disease in a General Hospital in Seoul. Data analysis was done using SAS 6.12 for descriptive statistics and the PC-LISREL 8.13 Program for Covariance Structural Analysis. Result: The results are as follows : 1. The fit of the hypothetical model to the data was moderate. It was modified by excluding 2 path and including free parameters and 3 path to it. The modified model with path showed a good fitness to the empirical data($\chi$2=80.20, P=0.05, GFI=0.95, AGFI=0.88, NNFI=0.95, NFI=0.96, RMSR=0.01, RMSEA =0.06). 2. The perceived benefits, self-efficacy, and a plan of action were found to have significant direct effects on the health promoting behavior in patients with chronic respiratory disease. 3. The health perception, self-esteem, and activity related to affect were found to have indirect effects on the health promoting behavior in patients with chronic respiratory disease. Conclusion: The modified model of this study is considered appropriate in explaining and predicting health promoting behavior in patients with chronic respiratory disease. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

• 한국환경과학회지
• /
• 제6권6호
• /
• pp.563-578
• /
• 1997

The purpose of this study is to suggest the estimation model of' amenity environment' by Perceived Envionmental Quality Index(PEQI) model. A questionnaire survey was carried out for 연e study area of Taegu-Kyungbuk region. Sampling size was 838(427 of Taegu and 411 of Kyungbuk residents by stratified sampling of each region's(7 Gu for Tae-gu, 7 Cities 61 Gun far Kyungbuk) population. The survey was done during Sep. to Nov, of 1996. The suggested model was composed of four estimation categories and 16 Indicators. The four categories were 'Cleanness 61 Quietness', 'Naturalness & Harmony', 'Beauty 61 Comfort' and 'Environmental Conservation Efforts'. And each category has several individual Indicators. The weighted means of satisfaction were different by each region. Suseong-gu, Dalseogu, Joong-gu(Taegu), Bumcheon, Andong, and Cheondo(Kyungbuk) showed high enoronmental satisfaction, but Dong-gu. Seo-gu(taegu), Youngcheon, and Pohang(Kyungbuk) showed lower environmental satisfaction. By Analytic Hierarchy Process(AHP) of weighting values for each categorirs, 'Enoronmental Conservation Efforts' was estimated as the most Important(value of 0.367), and 'Naturalness 61 Harmony'(0. 242),'Clenness & guletness'(0.225), and 'Beauty & Comfort'(0.166) were Important respectively. Total PEQI's were estimated as 48.0 for Taegu, and 53.3 for Kyungbuk. PEQI's for each regions were between 46.2(Dong-gu) and 59.9(Kimcheon). The validity of the suggested model was verined by factor analysis. The four factors were identnied as the same categories and indicators. Finally, The LISREL+7 model was suggested as estimauon model of 'Amenity Environment' for Taegu-Kyungbuk region.

• 한국의상디자인학회지
• /
• 제10권1호
• /
• pp.125-134
• /
• 2008

Consumers' need for uniqueness reflects individual differences in counterconformity and related to the attitude toward brands as well as purchase behavior. To understand the relationship between consumer's personal characteristics and purchase behavior, the study investigated the effect of consumers' need for uniqueness and clothing interest on the brand consciousness, loyalty and purchase intention. Survey was utilized to collect the data and subjects were 271 college students. Measures consisted of five main constructs: Consumer's need for uniqueness, clothing interest, brand consciousness, brand loyalty, and purchase intention. The measurement and structural models were evaluated using PRELIS 2 and LISREL 8.53. Consumer's need for uniqueness was confirmed to have three constructs: creative, unpopular, and avoidance. The researcher tested Model 1 and developed five other models-Models 2 through 6-based on the results from Model 1 evaluation. The additional Models 2 through 6 were nested in Model 1. To select a best model, the researcher compared the value of chi-square, RMSEA, GFI, AIC, and ECVI. Since Model 6 also illustrated conceptually or theoretically reasonable relationships among constructs as well, it was finally selected as a best model. In the Model 6, the creative dimension of consumer's need for uniqueness had a negative relationship with brand loyalty, while the avoidance dimension of consumer's need for uniqueness had positive relationship. The unpopular dimension of consumer's need for uniqueness and clothing interest had significant positive effects on the brand consciousness. The brand consciousness was significantly related to brand loyalty and brand loyalty to purchase intention.

• 근관절건강학회지
• /
• 제5권1호
• /
• pp.7-25
• /
• 1998

Rheumatoid arthritis, unlike other chronic diseases, causes the patients to experience uncertainty in their daily lives and thus to feel threat on their emotional comfort because of inconsistent and unpredictable symptoms such as pain. Therefore, a theoretical framework is needed for explanation of uncertainty in patients having rheumatoid arthritis. A hypothetical model was constructed on the basis of Mishel's Uncertainty Theory and other literature review. The model included 9 theoretical concepts and 19 paths. Subjects of the study constituted 330 partients who visited outpatient clinics of two university hospitals and one general hospital in Seoul. Self report questionnaires were used to measure the variables affecting uncertainty. Reliability coefficients of these instruments were found Cronbach's Alpha=$.70{\sim}.94$. In data analysis, SAS program and PC-LISREL 8.03 computer program were utilized for descriptive statistics and covariance structure analysis. The results of covariance structure analysis for model fitness were as follows : 1) Hypothetical model showed a good fit to the empirical data : Chi-square($X^2$)=41.81 (df=11, P=.000), Goodness of Fit Index=.974, Root Mean Square Residual=.049, Normed Fit Index=.928, Non Normed Fit Index=.814. 2) For the validity and the parcimony of model, a modified model was constructed by appending 2 paths and deleting 5 paths according to the criteria of statistical significance and meaningfulness. 3) The results of hypothesis testing were as follows : (1) Educational level, event familiarity and severity of illness had a direct effect on uncertainty : Event congruency had both direct and indirect effect on uncertainty : Credible authority and symptom consistency had a nonsignificant direct effect on uncertainty, (2) Illness duration, symptom consistency, and event congruency had a direct effect on severity of illness ; Credible authority had a both direct and indirect effect on severity of illness ; Event congruency had the greatest effect on severity of illness, and event familiarity had a nonsignificant direct effect on severity of illness.

• 성인간호학회지
• /
• 제14권1호
• /
• pp.73-82
• /
• 2002

The purpose of this study was to test the fitness and explainable power of TPB-SE model to the behavior of breast self examination and it was to examine effectiveness of education for Intention and behavior of breast self examination. The subjects were 122 womens under baby sitting teachers' training programs at "S"college on Po Hang city, Kyung Pook province from May 10, 1998 through October 17, 1998. Among 122 subjects, 61 were placed in experimental group and 61 in control group. The experimental group was treated by researcher who administered booklet, slide and breast model. Collected data were analyzed through $X^2$-test, t-test, MANOVA, ANCOVA, Pearson correlation coefficient via SPSS/PC and applied LISREL 8.0 programs to test TPB-SE model. The result of this study was summarized as follows: 1. TPB-SE model with additions of self efficacy from TPB fits well for predictive factors of behavior of breast self examination and it also fits well for data (GFI=.91, $R^2$=.45). 2. Behavior score of breast self examination in the experimental group with already educated with breast self examination was significantly higher than that of control group (Wilks's value=.711, p=000). Through the results of this study, TPB-SE model with additions of self efficacy from TPB fits well for predictive factors of behavior of breast self examination and the education of breast self examination was effective to improving intention and behavior of breast self examination. I herewith reached final conclusions that the behavior of breast self examination should be regarded as one of health behavior for all women and the health education to women for breast self examination will be important job role for all nurses. In addition to above, the intervention through effective education designed for improving attitude, subjective norm, perceived control, self efficacy and intentions will be necessary step for any improvement of women' health behavior.

• 지역사회간호학회지
• /
• 제15권1호
• /
• pp.102-109
• /
• 2004

Purpose: The purpose of this study was to confirm a structural model for health promotion for industrial workers. Methods: Data was collected by questionnaires from 294 industrial workers at a food manufacturing factory. The data collected were analyzed through SAS 8.1 and Window LISREL 8.12a. Results: 1. The result of the test showed that the measurement of fitness was $x^2$=(삭제) 443.35, $x^2$/df 5.3415, GFI .86, AGFI .75, RMR .060, NFI .95, NNFI .93, CN 77.58, and those other than NFI and NNFI did not well fit into the practical data. 2. 15 out of 29 paths in a constructed model were statistically significant. 3. The measurements for total fitness in the modified model were $x^2$= (삭제) 146.51, $x^2$/df 1.8546, GFI .95, AGFI .91, RMR .042, NFI .98, NNFI .99, CN 223.44, all of which showed fitness in good shape to the practical data. 4. The result of the study for the modified model indicated that perceived self efficacy had the most significant direct effect on health promotion behaviors, and self esteem, perceived benefits of action, interpersonal influences, commitment to a plan of action were important factors having influences on them. Conclusion: The derived model in this study is considered appropriate in explaining and predicting health promoting behavior of industrial workers. Therefore, it can effectively be used as a reference model for further studies and suggested implication in nursing practice.

• 여성건강간호학회지
• /
• 제9권1호
• /
• pp.50-60
• /
• 2003

Purpose : The purpose of this study was to evaluate the factors which are related to the maternal role performance of first-time mother to improve the health of infant. Specifically a basic hypothetical model was developed based on the previous study about a model of social networks. Method : The survey was done from January to February in 2001. Total 257 mothers who have four to twelve month old first-time baby was interviewed in five community health center around country(Seoul, Choung-ju, Asan, Cheon-an, Jeju). Finally 247 data was analyzed. Data analysis was done with LISREL 8.20 program for covariance structural analysis. Results : Compared to the hypothetical model, the revised model has become parsimonious and had a better fit to the data ($X^2=167.55$ (p값=.00), $x^2/df=1.48$, GFI=0.97, AGFI=0.95, RMR=0.049, NFI=0.98, NNFI=0.99, CN=222.53). All predictive variables of the maternal role of first-time mother explained 30% of total variance in model. Social network structural characteristics and social network interactional characteristics had significant effect on the emotional support and the information support. And social network interactional characteristics had significant effect on the service support, material support and social companionship support. The service support and social companion ship support had significant effect on the maternal role strain. The emotional support and the social companion ship support had significant effect on the maternal role of first-time mother. Conclusion : As the conclusion of this study, there is in need of the developing the programmes focussed on the social network for the first-time mother.

• 대한간호학회지
• /
• 제35권3호
• /
• pp.494-502
• /
• 2005

Purpose: This study was to evaluate the casual relationship between the factors in the Pender's model and to explain health promoting behaviors among middle-aged women in order to facilitate nursing interventions for this population group. Method: 116 women between 40$\~$60 years old living in Incheon were asked to complete a questionnaire about their health. The data was collected between March and November, 2003. The data was analyzed by descriptive statistics and the correctional analysis SPSSWIN 11.5 program. The LISREL 8.12 program was used to find the best fit model which explained a causal relationship of the variables. Results: The climacteric symptoms of middle-aged women negatively correlated with health promoting behaviors. However, marital satisfaction positively correlated with health promoting behaviors. Conclusion: Marital satisfaction and climacteric symptoms had an effect on health promoting behaviors. Therefore, based on this study, we plan to develop a health education program to decrease climacteric symptoms and to promote marital satisfaction for health promotion.

• 한국의류산업학회지
• /
• 제9권1호
• /
• pp.55-64
• /
• 2007

In this study, relationship model of relationship quality and loyalty for perceived service quality on department store is proposed and empirically tested. Service quality factors were defined as Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Relationship quality were defined as customers' overall satisfaction and customer trust. A LISREL model was used to develop dimensions of service quality and to investigate the structural relationship among perceived service quality, relationship quality(customer satisfaction and trust) and loyalty on department stores. The empirical results were as follows; First, Tangible, Responsiveness, Assurance and Empathy of service quality factors have a positive effect on customers' overall satisfaction. Second, customers' overall satisfaction have a positive effect on customer trust. Third, relationship quality have a positive effect on loyalty of customer; customers' overall satisfaction and customer trust have a positive effect on loyalty of customer. At the end of this paper, discussion, managerial implications, limitations and future research directions were suggested.